Twinning and Project Transmittal Form

Twinning - Jumelage

Step 1 of 2

This field is hidden when viewing the form

Next Steps: Install the Stripe Add-On

To accept payments on this form you will need to install the Stripe payment add-on. Important: Delete this tip before you publish the form.

9.17 Twinning and Project Transmittal Form

Please use this online form for twinning contributions regardless of the type of payments you intend to use (credit card, e-transfer or cheques) If you have any questions regarding twinning, please contact Nicole: twinning-jumelage@ssvp.ca If you have questions regarding payments, please contact Josée: national@ssvp.ca

Part 1

Name of Canadian conference or council sending funds:(Required)

Conference or council city:(Required)

Contact Person Name(Required)

First Last

Email(Required)

Part 2

Name of twinned conference or council receiving funds or name of project:(Required)

City:(Required)

Country:(Required)

Part 3

The amount is for:(Required)

If you send an amount for more than one instalment, we will divide the funds by the number of instalments entered.

One Instalment

Two Instalments

Three Instalments

Processing fees: Please add the processing fee as indicated below to your amount as required. Types of payment available:

Credit Card ($25 per year)
E-transfer ($25 per year)
Cheque ( $50 per year)

Amount(Required)

Notes

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

Type of Payment(Required)

Cheque

Credit Card

E-transfer

Please send cheque with confirmation number to:

SSVP National Council of Canada
2463 Innes Rd
Ottawa, ON
K1B 3K3

Please send E-transfer with confirmation number to: twinning-payment@ssvp.ca

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name